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Simple febrile convulsion — RACP Paediatrics MCQ

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EasyNeurologySimple febrile convulsionRACP Paediatrics

A 14-month-old has a 2-minute generalised tonic-clonic seizure during a febrile illness (temperature 39.5°C). The child recovers fully within 30 minutes. There is no prior seizure history. Development is normal. What is the most likely diagnosis?

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Correct answer: D — Febrile convulsion – simple

A simple febrile convulsion is defined as a generalised seizure lasting <15 minutes in a febrile child aged 6 months to 6 years with complete recovery and no recurrence within 24 hours. No investigation beyond identifying the source of fever is required.

Reference: RCH Melbourne – 2024 – Seizures Acute Management CPG; RACP Paediatric Curriculum – Neurology